STEPHANIE GREEN Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242005286

License Status

EXPIRED

Business

First Name

STEPHANIE

Last Name

GREEN

Business Name

STEPHANIE GREEN

Original Issue Date

05/30/2019

Effective Date

05/30/2019

Expiration Date

11/30/2020

City

ROCHESTER

State

Zip

62563

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/11/2021